Civic Intelligence

Christus Trinity Clinic Texas

990 • Fiscal year 2017 • EIN 75-2616977

Jul 01, 2016 to Jun 30, 2017 • Filed on May 01, 2018

1315 Doctors DriveTyler, TX 75701

(903) 606-5639

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

2.01x

Higher debt load relative to assets than 99% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

54th percentile

0.55x

Higher debt load relative to revenue than 54% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

7th percentile

-24%

Higher net margin than 7% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2017

Asset Growth

17th percentile

-1.4%

Faster asset growth than 17% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

65th percentile

9.6%

Faster revenue growth than 65% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Down

$46,332,852

Down $641,879 (-1.4%) from 2016

Net Assets

Up

-$46,664,013

Up $10,605,978 (+19%) from 2016

Liabilities

Down

$92,996,865

Down $11,247,857 (-11%) from 2016

Revenue

Up

$168,960,733

Up $14,821,793 (+9.6%) from 2016

Expenses

Up

$209,342,618

Up $26,693,732 (+15%) from 2016

Net Income

Down

-$40,381,885

Down $11,871,939 (-42%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$200M$0-$200MAssets 2010: $81,057,788Liabilities 2010: $93,327,362Net Assets 2010: -$12,269,5742010Assets 2011: $100,212,393Liabilities 2011: $115,856,429Net Assets 2011: -$15,644,0362011Assets 2012: $135,889,145Liabilities 2012: $157,671,418Net Assets 2012: -$21,782,2732012Assets 2013: $50,748,541Liabilities 2013: $80,503,891Net Assets 2013: -$29,755,3502013Assets 2014: $42,788,352Liabilities 2014: $84,792,323Net Assets 2014: -$42,003,9712014Assets 2015: $41,300,592Liabilities 2015: $89,858,550Net Assets 2015: -$48,557,9582015Assets 2016: $46,974,731Liabilities 2016: $104,244,722Net Assets 2016: -$57,269,9912016Assets 2017: $46,332,852Liabilities 2017: $92,996,865Net Assets 2017: -$46,664,0132017Assets 2018: $75,838,421Liabilities 2018: $205,964,533Net Assets 2018: -$130,126,1122018Assets 2019: $57,615,684Liabilities 2019: $247,012,163Net Assets 2019: -$189,396,4792019Assets 2020: $74,448,052Liabilities 2020: $79,779,551Net Assets 2020: -$5,331,4992020Assets 2021: $97,674,872Liabilities 2021: $92,914,147Net Assets 2021: $4,760,7252021Assets 2022: $104,797,074Liabilities 2022: $75,178,733Net Assets 2022: $29,618,3412022Assets 2023: $110,123,160Liabilities 2023: $88,081,003Net Assets 2023: $22,042,1572023Assets 2024: $107,700,781Liabilities 2024: $75,156,561Net Assets 2024: $32,544,2202024

Highlighted filing

2017

Assets$46,332,852
Liabilities$92,996,865
Net Assets-$46,664,013

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $147,688,0342010Expenses 2011: $136,630,5402011Revenue 2012: $125,774,019Expenses 2012: $150,113,635Net Income 2012: -$24,339,6162012Expenses 2013: $195,211,2022013Revenue 2014: $169,704,660Expenses 2014: $198,561,679Net Income 2014: -$28,857,0192014Revenue 2015: $153,732,700Expenses 2015: $177,244,488Net Income 2015: -$23,511,7882015Revenue 2016: $154,138,940Expenses 2016: $182,648,886Net Income 2016: -$28,509,9462016Revenue 2017: $168,960,733Expenses 2017: $209,342,618Net Income 2017: -$40,381,8852017Revenue 2018: $269,031,966Expenses 2018: $354,878,656Net Income 2018: -$85,846,6902018Revenue 2019: $306,336,105Expenses 2019: $365,606,472Net Income 2019: -$59,270,3672019Revenue 2020: $338,873,299Expenses 2020: $388,381,093Net Income 2020: -$49,507,7942020Revenue 2021: $420,271,561Expenses 2021: $474,723,959Net Income 2021: -$54,452,3982021Revenue 2022: $543,379,773Expenses 2022: $603,471,315Net Income 2022: -$60,091,5422022Revenue 2023: $926,180,147Expenses 2023: $924,538,493Net Income 2023: $1,641,6542023Revenue 2024: $1,078,878,794Expenses 2024: $1,081,041,509Net Income 2024: -$2,162,7152024

Highlighted filing

2017

Revenue$168,960,733
Expenses$209,342,618
Net Income-$40,381,885
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 1, 2018
Return Version
2016v3.1
Gross Receipts
$168,960,733
Mission and Program Overview

Mission

To provide physician services with a full range of comprehensive health care services without regard to race, creed, sex, national origin, handicap, age, or ability to pay.

To provide physician services with a full range of comprehensive health care services without regard to race, creed, sex, national origin, handicap, age or ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$26,754,170$28,787,188▲ $2,033,018
Accounts Receivable$11,548,233$13,052,970▲ $1,504,737
Prepaid Expenses and Deferred Charges$445,562$1,413,798▲ $968,236
Other Notes and Loans Receivable, Net$0$985,547▲ $985,547
Land, Buildings, and Equipment, Net$1,138,244$967,399▼ $170,845
Intangible Assets$536,672$435,207▼ $101,465
Inventories for Sale or Use$100,594$178,598▲ $78,004
Cash and Non-Interest-Bearing Accounts$17,095$96,016▲ $78,921
Investments Other Securities$2,256$0▼ $2,256
Savings and Temporary Cash Investments$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$46,974,731$46,332,852▼ $641,879
Other Assets Total$6,431,905$416,129▼ $6,015,776
Liabilities
Other Liabilities$78,683,723$55,830,590▼ $22,853,133
Accounts Payable and Accrued Expenses$25,560,999$37,166,275▲ $11,605,276
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$104,244,722$92,996,865▼ $11,247,857
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-57,269,991$-46,664,013▲ $10,605,978
Total Net Assets Fund Balance$-57,269,991$-46,664,013▲ $10,605,978
Total Liabilities and Net Assets / Fund Balance$46,974,731$46,332,852▼ $641,879

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$920,658$365,843$1,286,501
Buildings$46,741$12,322$59,063

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$3,185,371-▲ $345,766-$3,522,036
2015$2,885,950$445,000▼ $118,741-$3,185,371
2014$2,762,072-▲ $124,878-$2,885,950
2013$2,414,694-▲ $360,569-$2,762,072
2012$2,408,876-▲ $163,752-$2,414,694
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ming LumdPhysicianFT$1,756,254$25,849$1,784,428
Todd PatrickmdDirector (termed 12/2016)FT$1,665,800$30,108$1,691,424
Peter SiriannimdPhysicianFT$1,529,252$31,266$1,556,200
LAURA O'HALLORANMDPhysicianFT$1,499,391$29,498$1,519,533
Kai XiamdPhysicianFT$1,428,577$37,642$1,474,419
Ramon KumarmdPhysicianFT$1,309,562$14,688$1,333,860
Steve KeuermdDirector/presidentPT$641,694$51,650$1,171,263
James Caccitolo MdDirector/secretaryFT$1,069,325$111,500$1,096,273
Jayesh PatelmdDirectorFT$911,520$43,477$949,688
J Chris GlenneyCAO-$369,959$408,395$929,733
Fagg Sanford MdDirectorFT$842,468$109,259$873,520
Fadi Nasrallah MdSr VPFT$712,801$15,453$825,994
Joe Zasik MdDirectorFT$539,052$43,624$582,529
Mark AndersonmdDirector/chairFT$514,027$118,963$542,201
John Lane SchnellmdDirector (eff 01/2017)FT$464,375$28,174$524,999
Hamp Williams MdDirector/vice-chairFT$460,296$289,015$485,477
James Stanford MdDirectorFT$407,188$42,422$454,018
Brent Roy Wadle DoDirectorFT$423,627$87,077$449,704
Thomas HargrovemdPhysician/former VPPT$378,570$44,522$428,061
Roger FowlerFormer OfficerFT$378,991$15,453$421,058
Brenda Morris MdDirectorFT$395,118$53,818$413,936
Scott SmithmdDirectorPT$259,724$15,474$325,189
William DooleyVP (termed 2/18/17)FT$213,955$17,317$309,791
Janet HurleymdDirectorFT$283,681$19,033$305,814
Joyce HesterSVP/CFO (termed 04/2016)PT$30,317$31,891$292,646
James Gregory StovallFormer OfficerFT$237,967$138,988$258,632
Andria Cardinalli-stein MdDirectorPT$160,213$547,413$167,095
William Mccrady MdFormer VP-$54,000-$156,735

Highest Paid Contractors

ContractorServicesLocationCompensation
Delta Locum Tenens LLCPhysician ServicesPOBOX 202940, Dallas, TX 75320$2,112,126
Ut Health Center At TylerPhysician Services11937 US HWY 271, Tyler, TX 75708$900,183
David Harrison MdPhysician Services4330 GILBERT AVE UNIT D, Dallas, TX 75219$517,585
Ricardo Vega DoPhysician Services19225 OAKBROOK RD, Tyler, TX 75703$378,510
Jonathan W Pino MdPhysician Services4412 KELL W BLVD, Wichita Falls, TX 76309$278,738
Revenue and Support

Revenue Composition

Contributions and Grants
$75,070
Program Service Revenue
$164,856,293
Investment Income
$296
Other Revenue
$4,029,074
All Other Contributions
$12,874
Change in Net Assets
$-40,381,885
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$167,070,642
Other Expenses$42,271,976
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$127,557,573$10,828,931$0$138,386,504
Other Employee Benefits$12,939,598-$0$12,939,598
Fees for Services Management$11,868,479-$0$11,868,479
Current Officers, Directors, Trustees, and Key Employees$10,925,011$927,455$0$11,852,466
Fees for Services Other$4,408,511$4,139,736-$8,548,247
Insurance$2,603,480$84,404$0$2,687,884
Comp Disqual Persons$1,914,918$162,563$0$2,077,481
Payroll Taxes$1,154,903$659,690$0$1,814,593
Occupancy$499,584$973,846$0$1,473,430
Office Expenses$317,078$849,960$0$1,167,038
Conferences and Meetings$1,138,020$16,975$0$1,154,995
Other Expenses$397,559$65,467-$463,026
Depreciation Depletion$80,569$248,746$0$329,315
Information Technology-$262,002$0$262,002
Travel$29,927$140,674$0$170,601
Interest$104,983-$0$104,983
Advertising$2,714$28,971$0$31,685
Fees for Services Accounting-$676$0$676
Fees for Service Investment Mgmnt Fees-$150$0$150
Total Functional Expenses$189,943,256$19,399,362$0$209,342,618
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Joshua SteinAndria Cardinalli-stein, DirectorSee Supplemental InformationNo$775,076

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Liability$34,055,105
Pension Liability$14,336,229
Reserve for Malpractice Self-insurance$7,438,449
Sales Tax Payable$807
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Trinity Clinic
EIN
75-2616977
In Care Of
% CHRISSY RAMSEY
Phone
9036065639
Address
1315 DOCTORS DRIVE, TYLER, TX 75701
Doing Business As
See Schedule O

Signing Officer

Name
Elizabeth Pulliam
Title
System CFO
Phone
9036065639
Signed
2018-05-01

Organization Details

Principal Officer
Steven Keuer Md
Formed
1995
Legal Domicile
TX
Voting Board Members
14
Independent Board Members
0
Employees
700
Volunteers
34
Supplemental Narrative

Additional Explanations

Doing Business as

Form 990, page1, item c, trinity clinic operates under the following names: trinity pathology associates christus trinity clinic

Members or Stockholders

Form 990, part vi, line 6: christus trinity mother frances health system is the sole member of trinity clinic.

Decisions of Governing Body Subject to Approval by the Member

Members who may elect members of the governing body form 990, part vi, line 7a the sole member, mother frances hospital regional health care center, has the power to appoint all directors and their successors to the governing board. Form 990, part vi, line 7b the member has the authority to approve or disapprove certain matters previously approved by the board of directors.

Process to Review the Form 990

Form 990, part vi, line 11b the form 990 is prepared and reviewed by the christus health tax department. The christus health accounting department works with the tax department in preparation and review of the form 990. The filing organizations cfo, or other designee, reviews the form 990. Once prepared and filed, a copy of the return is made available to the board of directors upon their request.

Process to Monitor and Enforce Conflict of Interest Policy

Form 990, part vi, line 12c the board reviews and resolves, if necessary, any transactions as they arise throughout the year in accordance with policy standards. The organizations internal accountants distribute and review annual questionnaires to identify any potential conflicts of the board members, officers and the highest compensated employees. When a conflict of interest is identified, the individual is removed from discussions and cannot vote on any transactions involving the conflict.

Review of Compensation of Ceo, Officer, or Key Employees

Form 990, part vi, line 15a & 15b the organization uses compensation consultants and national compensation surveys to determine compensation of employees. Compensation is approved by the organizations governing body and ultimately approved by christus trinity mother frances health system. The most recent review of officer compensation was conducted in 2016 by laura lockhart, ctmfhs director of total rewards, and candy land, ctmfhs compensation analyst. All reviews are documented in the market adjustment files. The organization utilizes mgma national compensation survey to determine the compensation of providers (physicians and advanced practice providers). On a bi-annual basis, the organization engages an outside, national provider compensation consulting firm to conduct a fair market value assessment of the total compensation of all providers.

Availability of Documents

Form 990, part vi, line 19 the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Compensation From Related Organizations

Form 990, part vii, line 1a the governing board of christus trinity mother frances health system, upon advice from nationally recognized compensation consultants, who periodically review all executive compensation, approved a deferred compensation plan that provides a 65% total retirement benefit for senior executives that serve 20 years or more. This program has both retentionand non-competition clauses that a risk of forfeiture. Deferred compensation is subject to a risk of foereiture based on retention, non-competition and other contractual factors. Accrulas of deferred compensation are not includible in w-2 compensation until paid. Other employee benefits include qualified pension plans, health, dental, and life insurance plans, disability insurance, etc. Taxable expenses are included in the w-2 paid compensation salary.

Other Changes in Net Assets

Form 990, part xi, line 9 transfers from affiliate $50,987,863

Financial Statement Notes

INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS:

Form 990, schedule d, part v, line 4: the organization has adopted investment and spending policies for the endowment assets that attempt to provide a predictable stream of funding to programs and items supported by the endowment while seeking to maintain its purchasing power.

Liability for Uncertain Tax Positions

Form 990, schedule d, part x, line 2: the authoritative guidance in accounting standards codification topic 740, income taxes, creares a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition thershold a tax position is required to meet before being recognized in the financial statements. Under the requirements of this guidence, tax-exempt organizations could be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. The health system has interest in various taxable entities which may give rise to u.s. Tax exposures. There are no material unrecorded tax liabilities as of june 30, 2017 and 2016.

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IRS990/Desc0OUR COMMITMENT TO OUR COMMUNITY EXTENDS TO FREE OR SUBSIDIZED INDIVIDUAL CARE, SUBSIDIZED EDUCATION OF HEALTHCARE PROFESSIONALS, DISCOUNTED FEES FOR PARTICIPANTS IN GOVERNMENT PROGRAMS, COMMUNITY HEALTH EDUCATION, AND DONATIONS TO OTHER COMMUNITY AGENCIES. SPECIFIC COMMUNITY SERVICES AND PROGRAMS INCLUDE: WELLNESS AND PREVENTION EDUCATION PROGRAMS, COMMUNITY DIAGNOSTIC SCREEING PROGRAMS, SENIOR CITIZEN HEALTH AWARENESS PROGRAMS, AWARENESS PROGRAMS FOR YOUTH AT RISK, AWARENESS PROGRAMS FOR PERSONS WITH SPECIAL PHYSICAL OR MENTAL NEEDS, CHILDREN WITH DIABETES SUMMER CAMP, SPORTS CARE PROGRAMS, SAFETY TRAINING FOR LOCAL BUSINESSES, AND RESEARCH PROGRAMS. CHRISTUS TRINITY CLINIC IS THE AREAS PREFERERD MULTI-SPECIALTY MEDICAL GROUP, WITH MORE THAN 400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRESENTING 36 SPECIALTIES IN 34 LOCATIONS SERVING NORTHEAST TEXAS ACROSS 41 COUNTIES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$108$75.2$32.5$1,079$1,081$2.16
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$110$88.1$22.0$926$925$1.64
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$105$75.2$29.6$543$603$60.1
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$97.7$92.9$4.76$420$475$54.5
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$74.4$79.8$5.33$339$388$49.5
2019Summary only. Only limited summary data is available for this year.$57.6$247$189$306$366$59.3
2018Summary only. Only limited summary data is available for this year.$75.8$206$130$269$355$85.8
2017Detailed filing. Detailed filing data is available for this year.$46.3$93.0$46.7$169$209$40.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$47.0$104$57.3$154$183$28.5
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.3$89.9$48.6$154$177$23.5
2014Detailed filing. Detailed filing data is available for this year.$42.8$84.8$42.0$170$199$28.9
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.7$80.5$29.8$195
2012Summary only. Only limited summary data is available for this year.$136$158$21.8$126$150$24.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$100$116$15.6$137
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$81.1$93.3$12.3$148